health emergency lifeline program - corktown health...
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HealthEmergencyLifelineProgram
HELP,1726HowardStreet,DetroitMI48216313.832.3300
VISIONINGCORKTOWNHEALTHCENTERKeyPrioritiesforMichigan’sFirstLGBTHealthCenter
Copyright©June2016HealthEmergencyLifelineProgram(HELP).
AuthoredbyWorldShareconsultantsLeselieyRoseWelch,MPH,MBA,PrincipalConsultant,
andChelseaHarmell,MPH,Consultant.
The mission of World Share is to build the capacity of individuals and organizations to
transform themselvesand theworld for thebetterbyprovidinghighquality,high impact
consulting,marketinganddesignservices.
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VisioningCorktownHealthCenterKey Priorities for Michigan's First LGBT Health Clinic
EXECUTIVESUMMARY
WhileSoutheastMichiganboastsseveralaward-winning,state-of-the-arthealthsystems,nonecurrentlyhavethecapacitytoprovidetrulypatient-centeredcaretomeetlesbian,gay,bisexual,andtransgender(LGBT)clients’mostbasichealthcareneeds,includingprimarycare,pediatrics,internalmedicine,andobstetricsandgynecology.RecognizingthattheprimaryhealthcareneedsoftheLGBTpopulationhavebeenlargelyunmetinMichigan,HealthEmergencyLifelineProgram(HELP)planstoexpanditsexistingoperationsbylaunchingMichigan’sfirstLGBThealthcenter,CorktownHealthCenter,infall2016.HELPrecognizestheneedforCorktownHealthCentertobedevelopednotmerelyfortheLGBTcommunity,butbythecommunityaswell.ToensurethatCorktownHealthCenterisshapedbyinputfromthecommunityitplanstoserve,HELPhostedaseriesoffourinteractivecommunityconversationsabouttheemergingcenter,inwhichover40communitymembersparticipated.HELP’sfourcommunityconversationsoccurredbetweenOctober2015andMarch2016withatotalof44attendees.WorldShare,athird-partyconsultingfirmwithlong-standingtiestotheLGBTcommunity,facilitatedallfourconversations.ThegoalsoftheOctoberandNovember2015conversationswereto:(1)invite,facilitateandcapturecommunityinputintoenvisioningandcreatingamodelLGBThealthclinicinDetroit;(2)understandthecommunity’shopesforaLGBThealthcenterinDetroit;(3)identifypriorityLGBThealthcareneedsfromcommunitymembers’perspectives;and(4)respondtoquestionsandconcerns.Springcommunityconversationssoughtto:(1)shareupdatesonhealthcenterplanningandfallcommunityconversationcontributionstocentervision,values,andpriorities;(2)engagecommunityparticipantsindiscussionofstrengths,weaknesses,opportunitiesandchallengestothecenter’svision;(3)mapassetstosupportvision;and(4)identifyquestionsyettobeexplored.TheconversationfromthefinalmeetingelicitedsomeofthemostemotionalandfrankdiscussionsaboutCorktownHealthCenter,asparticipantssharedpersonalstoriesandcollectiveconcerns.Theneedforquality(notonlynon-discriminatoryandnon-judgmentalbut)affirmingcaredominatedbothconversations.Overwhelmingly,communitymemberswantthehealthservicesthatareavailableelsewherecoupledwithaqualityofcarethatisnotcurrentlyavailableanywhere.Conversationresultsinclude:anaspirationalvisionforthecenter,recommendedcorevalues,careprioritiesandapproaches,andfutureconsiderations.
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CONVERSATIONOVERVIEW
HELP’sfourcommunityconversationsoccurredbetweenOctober2015andMarch2016withatotalof44attendees.WorldShare,athird-partyconsultingfirmwithlong-standingtiestotheLGBTcommunity,facilitatedallfourconversations.Meetingswerehostedinfourwell-knownlocationsaroundtheDetroitMetroAreaduringweekdayeveningsandweekendmorningstoallowforpeoplewithdifferentscheduleslivingindifferentpartsoftheregiontoattend.ThesemeetingswerepublicizedbyHELP’sexistingnetwork,onsocialmedia,andbythelocalLGBTnewsmagazinePrideSource.Meetingswereheldinavarietyofspaces,includingalocalLGBTcommunitycenter,anonprofit,anacademiccenter,andanLGBTownedsmallbusiness.Eachmeetinglastedapproximatelytwohours,includingalightmeal.TwoofthefourcommunityconversationswererecordedonfilmtodocumentsalientthemesandprovideanopportunityforinterestedparticipantstorecordtheirthoughtsandfeelingsaboutSoutheastMichigan’snewLGBThealthclinic.
FALL2015CONVERSATION
ThegoalsoftheOctoberandNovember2016conversationswereto:(1)invite,facilitateandcapturecommunityinputintoenvisioningandcreatingamodelLGBThealthclinicinDetroit;(2)understandthecommunity’shopesforaLGBThealthcenterinDetroit;(3)identifypriorityLGBThealthcareneedsfromcommunitymembers’perspectives;and(4)respondtoquestionsandconcerns.WhileclinicalandpublichealthprofessionalswithexistingspecialtyorinterestinservingLGBTfolkscomprisedthemajorityofparticipantsinthefirstfallconversation,membersfromtheLGBTcommunityatlargepredominantlyattendedthesecondfallconversation.Participantsbrainstormedindividually,insmallgroups,andasalargergrouptosharetheirthoughtsaboutthedevelopmentofthecenter’svision,values,andpriorities.Specifically,participantsconsideredthefollowingquestions:
§ Vision:WhatkindofLGBThealthcenterdoyouwanttoseeinDetroit?o Whatwillpatientsexperience,think,feel,andsay?o Whatwillprovidersandstaffexperience,think,feel,andsay?o Whatwillthecommunityexperience,think,feel,andsay?
§ Values:Whatvalueswouldyouliketoseethecenterreflect?Howwillthesevalues“showup?”§ Priorities:Whatarethe2-3mostimportanthealthissues(personalandcommunity)you
wouldliketoseethehealthcenteraddress?
SPRING2016CONVERSATIONS
Thespringcommunityconversationssoughtto:(1)shareupdatesonhealthcenterplanningandfallcommunityconversationcontributionstocentervision,values,andpriorities;(2)engagecommunityparticipantsindiscussionofstrengths,weaknesses,opportunitiesandchallengestothecenter’svision;(3)mapassetstosupportvision;and(4)identifyquestionsyettobeexplored.Onceagain,thetwospringcommunityconversationsdifferedintheirattendance,withhealthcare,pharmacy,andpublichealthproviderscomprisingthemajorityofattendeesforthethirdmeetingandcommunitymembersandalliescomprisingthemajorityofattendeesforthefourth.ThethirdmeetingfocusedonrefinementofthevisioningprocessforthecenterfollowedbysmallgroupworktoconductaStrength-Weakness-Opportunities-Challenges(SWOC)analysisandbegincommunitycommunicationsassetmapping.
ThefourthandfinalmeetingwasheldataprominentLGBTcommunitycenterandprovidedanopportunityforparticipantstosynthesizeallofthepreviouscommunityconversationthemes.Duringthisconversation,participantsconsideredthefollowingquestions:
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§ Patient:Whoisthepatient?§ Services:Howdoweprioritizeservices?§ Values:Whatvaluesdowewanttoliftupanddefine?§ Connecting:HowdowebestgetthewordoutaboutCorktownHealthClinic?§ Other:Whatquestionsandconsiderationsmuststillbeexploredand/orresolved?
TheconversationfromthefinalmeetingelicitedsomeofthemostemotionalandfrankdiscussionsaboutCorktownHealthCenter,asparticipantssharedpersonalstoriesandcollectiveconcerns.Duringthismeeting,participantsalsoprovidedspecificexamplesofthecharacteristicsandchallengestheybelievedmanyofthecenter’sclientswouldembody.ConcernsexpressedandquestionsraisedinthefinalconversationarelargelyreflectedintheFutureConsiderationssection.
CONVERSATIONRESULTS
ASPIRATIONALVISION
FallcommunityconversationsledtothefollowingaspirationalvisionfortheLGBThealthcenter:“I feel comfortableandsafecomingbackand tellingothers,” “Iwouldcomehere formy own healthcare and my family’s healthcare,” “It’s about time” – SoutheastMichigan’s diverse LGBT community, service providers, and Corktown residents areravingaboutthenewLGBTHealthCenterinCorktown.
The firstof itskind inMichigan, theCorktownHealthCenterwascreatedbyand forSoutheastMichigan’sLGBTcommunityandtheproviderswhoservethem.Thecenterhasextendedhours, flexible scheduling,andweekendappointments toaccommodateworkingpatients. Itprides itselfon itswarm,welcoming,engaging, friendly,vibrant,comfortable, safe, and professional environment. Pictures and artwork reflect thecommunity. All brochures, magazines, signs, sign-in sheets, and assessments aresensitive to racial, gender, and sexual orientation or identity – and are available inmultiplelanguages.Clinicoperationsareefficientandwaittimesareshort.Restroomsaregenderneutral.Facilitiesaremodern,clean,withstateof theartequipmentandtechnology.Thereisevenaplay-areaforchildren.
Thepeoplewhodotheworkareevenmoreamazingthantheclinic’sphysicalspace.Theclinicattractstoptalentwithcompetitivesalaryandbenefitpackages.Clinicteammembersarepolite,pleasant,knowledgable,andrespectfulofallwhoenter.Theyarecareful not to make assumptions about race, gender, orientation or pronounpreferences.Servicesarealsopoly-friendly.AsignificantnumberofstaffmembersareLGBT-identified and reflect the diversity of the community. In addition to clinicians,there are case managers, health educators, and outreach workers employed by theclinic. Providerswork collaborativelywith clinic teammembers, specialty and otheroutsideproviders.Inthewordsofonephysician,“weseepatientsasourteachers…Wevalue their lived experiences and knowledge of their unique needs.” Providers careabouttheirpatients,enjoytheirwork,andfeelconfidentthattheyaretrulymakingadifference.
The clinic is a one-stop shop for services for LGBT community members and theirfamilies across the lifespan and regardless of ability to pay. Clinic services includeprimary care, urgent care, a 24-hour crisis line, mental health care, reproductivehealth, hormone therapy,HIV/AIDS care, PrEP, screenings, peer education, domesticviolence support, palliative care and grief services and referrals. Supportive servicesforchildrenandfamilies,bisexuals,andtransgenderindividualsareavailable.Patients
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can have anyone they like join them in the exam room and for their appointments.Thereisanonsitepharmacy.Transportationisprovidedtoandfromappointmentsifneeded.
Overwhelmingly,patientsfeelseen,valued,welcome,respected,andhopeful.CorktownHealth Center is a place where LGBT people feel safe, included, belonging, and arehealed.Patient satisfaction surveycomments include statements like: “I feelequal toand not less than the person who treated me;” and “this is the best care I havereceived.”
Inshort,theCorktownHealthCenterisalong-awaitedcommunityasset.Itfillsavoidfor the community and for providers. It provides quality healthcare to SoutheastMichigan’s LGBT community and much needed education and cultural humilitycapacitybuildingforhealthcareprovidersintheregion.Amodelclinic,theCorktownHealth Center will most certainly prove to be a valuable contribution and positiveforceinhealthcaretransformationforSoutheastMichigan.
COREVALUES
Inclusivitywasadominantandrecurringthemeinallfourconversations.Participantsemphasizedthatthecentershouldaimtomakepeopleofalldifferentbackgroundsfeelwelcome.Participantswantedclientstofeelaffirmed,lovedandhonored,nomattertheirbackgroundoridentities.RecognizingthatdiversityexistswithintheLGBTcommunity,communityconversationparticipantswantedtofeelconfidentintheculturalhumilityofprovidersandstaff.Evenifaproviderdoesnotshareaclient’sbackground,theproviderwouldgoaboveandbeyondtoembracetheclient’sidentity,asknonjudgmentalquestions,andtocentertheclientastheexpertontheirownexperiences.Similarly,participantsstressedthatinordertoensureempowermentanddignityofclients,thecentermustbepatient-centeredandflexibletotheirneeds.Finally,participantsemphasizedtheneedfordevelopingasystemofaccountabilitytothecenter’svisionandcollaborationwithabroadrangeofcommunityadvocates.
PRIORITYSERVICESANDAPPROACHESThecommunityconversationshighlightedserviceareasandapproachestocarethatparticipantsdesiredandfeltshouldbethetopprioritiesforthecenter’sfirstyearsofoperation.Firstandforemost,participantswantedtoseehigh-qualityprimarycareservices,broadlydefinedandadaptabletopatients’expansiveneeds.Allgroupsagreedthatmentalhealthshouldbeevaluatedandaddressedintandemwithphysicalhealth.ThegroupsvoicedthatwithintheLGBTpopulation,transgenderfolksaregenerallythemostvulnerableandunderservedgroup,andthatbuildingacareteamwithexpertiseintransgenderhealthandwellnessshouldbeatoppriority.SecondtothepressingneedfortransgenderhealthcarewashealthcareforLGBTseniors.ParticipantsnotedthatthehealthandsocialsupportneedsoftheagingLGBTpopulationareoftensubsumedandinvisibleinothercaresettings.Lastly,theimportanceof
CORE VALUES
Inclusive – We welcome people of all ethnicities, races, genders, sexual orientations, income-levels and backgrounds.
Affirming – We respect every person who comes to our clinic as an expert on their own bodies and lived experiences.
Accountable – We embrace community responsibility as we work together toward improved health and wellbeing.
Care Priorities
Primary Care Mental Health
Transgender Care Senior Care
Approaches
Integrated
Trauma-Informed Harm Reduction Holistic Healing
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addressingLGBTyouthhealthwasdiscussed;participantsnotedthatapartneragencyisembarkingonworktoaddresslocalLGBTyouthhealthneeds.
Oncethegroupsdeterminedpriorityserviceareas,theyfocusedonhowtheyhopethecenterwilldelivertheseservices.Primarily,participantswantedtoseeservicesintegratedasmuchaspossibletoprovidecomprehensive“wholeperson”care.Thegroupsalsomentionedtheimportanceofdeliveringcarethroughaharmreductionlensthatconsidersclienttreatmentandbehaviorchangegoalsinthecontextofpersonalandstructurallimitations.Empoweringclientsinpatient-providercommunicationsbypromotingagencyinandownershipofcenterexperienceandcareplanswasequallyimportant.Additionally,astheLGBTcommunityexperiencesdisproportionatelyhighlevelsofmental,physical,andemotionalabuseaswellassystemicviolence,thegrouphighlightedtheimportanceofprovidingtrauma-informedcare.Finally,participantsadvocatedfortheavailabilityofcomplementarycareandholistichealingoptions.
STRENGTHS,WEAKNESSES,OPPORTUNITIES,ANDCHALLENGES(SWOC)
AppendixA:Strengths,Weaknesses,Opportunities,andChallenges(SWOC)summarizesparticipantfeedbackoninternalstrengthsandweaknessesoftheaspirationalvisionandHELP’scapacitytorealizethevision,aswellasexternalopportunitiestoadvancethevisionandchallengestoachievingthevision.StrengthscenteredonHELP’shistoryofprovidingkeyservicestotheLGBTcommunityandpreexistingclientbase.HELP’scurrentprovisionofmentalhealthandsupportiveserviceswereseenasstrengths,providingastrongfoundationforthenewclinic.HELPandthecenter’sabilitytoservediversepopulations,includinglow-incomeindividualsandthosewhomayneedassistanceaccessinghealthinsurancewasseenasanotherstrength.Weaknessesincludedconcernsaboutproviderburnoutinthefield,theavailabilityofspecialistson-site,andthefactthatthecentermayhavelimitedcontrolovertheservicesprovidedbyspecialistsitwillreferpatientstosee.Additionally,thecurrentlackofLGBTculturalcompetencyinthehealthcare,socialservice,andcriminaljusticesystemswasviewedasasignificantchallengefortheregion.WhileHELP’sabilitytoservelow-incomepatientswaslistedasastrength,arelatedweaknessisthatmanyclientsmaynotbeabletopayforservices,potentiallythreateningthefinancialsustainabilityofthecenter.
Manyoftheopportunitiesfocusedonthecenter’s“feel”,withchildplayareas,breastfeedingstations,andcomplementarymedicinefeatureslikearomatherapylistedaspotentialwaysthecentercouldbeinclusiveandfeelinvitingtoclients.Inaddition,participantsstressedtheopportunitiesinherenttothefirstLGBThealthcenterintheregion,withthecreationoftrainingopportunities,medicalpartnerships,andinternshipsforcurrentorprospectivehealthprovidersandspecialiststhroughoutthearea.Alonglistofopportunitieswascoupledwithseveralrelatedchallengesthecentermayneedtoaddresstoensureitssuccess.Whilerespondentsnotedanopportunitytodevelopeffectivesecurityprotocolsforthecenter,thethreatofsurroundingphysicalviolenceorharassmentbeyondthecenter’spropertyisaloomingchallengethatmayneedtobeaddressedthroughproactiveengagementwiththelocallawenforcement.Assumingthecenterissubjecttothesamephysiciancapacityandtimeconstraintsotherhealthclinicsface,thehighqualityofcarethecenteraspirestoprovideislikelytobemetwiththechallengesofbeingdeliveredwithinarelativelyshorttimeframebyalimitednumberofproviderstoensureallpatientsareseen.
STAKEHOLDERANDASSETMAPPING
AnothergoalofthecommunityconversationswastohighlightexistingcommunityassetsandkeystakeholderstoengageinthedevelopmentandimplementationofCorktownHealthCenter.Themappingprocessinvolvedtheidentificationofspecificcommunityresources,institutions,people,
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andmodesofcommunicationthatmightsupportthedevelopment,implementation,andoutreachofthecenter’sactivities.AppendixB:StakeholderandAssetMappingsummarizesthisactivity.
FUTURECONSIDERATIONS
Muchofthepassionatefinalconversationcenteredaroundquestionsyettobeansweredandissuesstillbeconsidered.Questionsanddominantthemesthatwarrantfurtherconsiderationareoutlinedanddescribedbelow.
1. HowwillCorktownHealthCenterutilizecommunityconversationfeedbackincenterdevelopment,planningandoperations?
2. Inwhatwayscanthecommunityexpecttobeengagedmovingforward?
3. HowwillCorktownHealthCenterhonordiversityandoperationalizetrueinclusivity?
4. WhatstrategiescanCorktownHealthCenteremploytorecruitandhiretalentreflectiveofthediversecommunityitserves?
5. HowwillCorktownHealthCentermitigatetheincreasingconcernsaroundareagentrificationandensuretargetpopulationconnectstothecenterasaspacebyandforthem?
6. HowwillCorktownHealthCenterensuretheaccess,safety,andaffirmationofitsbroadanddiversepatientpopulation?
PatientCommunity.ThegroupnotedthatCorktownHealthCenterwouldneedtomeaningfullyengagewiththediversityinherenttotheLGBTcommunity,withmindfulnesstothebroadracial/ethnicidentities,socioeconomicstatuses,andlifeexperiencesthatcommunitymemberspatronizingtheCorktownHealthCenterwilllikelypossess.FurtherthegroupnotedthatCorktownHealthCenterwouldneedtoensurethatCorktown’sincreasinggentrificationdoesnotimpactthecenter’sabilitytoprovidecaretoallpeopleregardlessofincome.
Accountability.Someofthemostprominentissueshighlightedbyparticipantsconnectedtothethemeofaccountability,adesiredcentercorevalue.ParticipantaccountabilityconcernsincludedCorktownHealthCetneraccountabilitytopatientsandtolocalLGBTcommunities.
Participantswouldliketoseethecenterbewelcomingandaffirmingwhilehonoringthediversityanddignityofpatientsaswellasstaff.Thoughtsaboutculturalhumilitywereechoedmorethanonce,andparticipantsstressedhowimportantitisforthecentertoemploystaffandhealthcareprovidersfromwithintheLGBTcommunitywhereverpossible.
ParticipantsalsodrovehometheexpectationthatCorktownHealthCenterwillbeintentionalaboutensuringLGBTpatientsareaffirmedandrespectedbythecenter’sprovidersaswellasitsreferralnetwork.Attendeesrecommendedavettingprocessbedevelopedforbothclinicprovidersandstaff,andforexternalspecialistsorproviderstowhomCorktownHealthCenterwouldreferpatients.SuchaprocesswouldensurethateverylevelofpatientexperienceismetwiththesameaffirmingandcompetentcareexpectedatCorktownHealthCenter.
Finally,itwasunderstoodthatparticipantswouldbeeagerlyawaitingasummaryofthecommunityconversations.BeyondreflectionbackofwhatHELPandconsultantsheardfromthecommunity,participantsareoptimisticallywatchingtoseeifHELPplanstocontinuetoengagethecommunityinmeaningfulwaysasCorktownHealthCenterplansevolve.Manyexpressedhowimportantitis
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forthecommunitytohaveinputintoareasofcenterdevelopmentbeyondvalues,prioritiesandservices,inareaslikemarketingandbrandingandphysicalspacedesign.SeveralparticipantssigneduptoexpresstheirinterestinaCorktownHealthCenterCommunityAdvisoryBoard.
Itishighlyrecommendedthat,inadditiontoitsbusinessplanning,HELPdevelopastrongcommunityengagementplantonurturecontinuedgoodwillamongandtruecommunityconnectiontotheCorktownHealthCenter.
CONCLUSION
LGBTindividualsandfamilieshavethesamebasichealthneedsaseveryoneelse.Yet,theirheightenedriskofexposuretomicro-andmacro-leveldiscriminationbypeoplerangingfromclosefamilymemberstotheirhealthcareteamsunderscoresexistinggapsinhealthcareaswellastheneedforahealthcenterthatprovidessafe,affirming,high-qualitycare.Additionally,LGBTindividualsareunderrepresentedinthemedicalfield,creatingahealthcareenvironmentinwhichtheLGBTpatientsoftenbecometheteachersfortheveryproviderswhoshouldalreadybetheirhealthcareexperts.TheCorktownHealthCenterwillbeMichigan’sfirstclinicdedicatedtonotonlyaffirmingLGBTpatientexperienceandprovidinghigh-levelcare,buttotraininganewgenerationofSoutheasternMichiganproviderswhocandothesame.IfCorktownHealthCenterachievesitsgoalandrisestothehighbarsetbycommunityconversationparticipants,itwillundoubtedlytransformthewayhealthcareisdeliveredandexperiencedinSoutheastMichiganandhaveapositiveimpactonLGBTcommunityhealth.
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APPENDIXA:Strengths,Weaknesses,Opportunities,andChallenges(SWOC)Analysis
STRENGTHS
§ LocationinCorktown§ HistoryofHELP§ Establishedclientbase§ Clinichours§ Gender-neutralrestrooms§ Insurancenavigationassistance§ Capacitytoaddressinsurancebarriers§ Capacitytoservelow-incomeindividuals§ Psychiatristformentalhealthandsubstance
use§ Clinicwillbeindependentandself-
sustaining§ Supportiveservicesalreadyinplace§ Multipleprogramofferings§ Comfortforpatients§ Unique,different
WEAKNESSES
§ Staffavailability§ Availabilityofdiversetalentpoolforstaff
recruiting§ Providerburnout§ Long-termconsistencyofcareproviders§ Capacitytohavespecialistsavailableon-site§ Initialloworexcessclientcapacity§ Outsidereferralstonon-HELPproviders§ Financing§ Inabilityofclientstopay§ Lackofdiversityatcommunitymeetings
OPPORTUNITIES
§ Opportunitiestolearn§ Internshipsandexternships§ Localmedicalpartnerships§ Volunteerscantradetimeforservices§ Endocrinologistforhormoneservices§ Agingspecialist§ Substanceabuseprograms§ Pharmacistconsultingarea§ Raiseawareness§ Engagemorepatients/clientsatfuture
meetings§ Vettingprocessforstaffandproviders§ Partnershipwithgroups/clinics/officesfor
outsidemeetings§ Breastfeedingarea§ Childcareordaycareresources§ Includewaterfeatureandaromatherapyfor
comfort§ Holisticandintegrativemedicine§ Securityprotocols§ Increaseavailablemedicalservicesbeyond
regularhealthchecks§ Improveadherencewithsupportiveservices§ Sustainability
CHALLENGES
§ Deliveringthevisionfromdayone§ Execution§ Qualityofspecialtycare§ Screeningofstaff§ Ensuringservicecommitmentfrompeople
(e.g.AmeriCorps)§ Responseofcommunity§ PerceptionthatclinicisonlyLGBTorHIV§ Misunderstanding§ Transportation§ Maintainingflexibleschedules§ Weekendhours§ Shortwaittimes§ Scheduling§ Burnout§ Crisisintervention§ Securityissues§ Gettingthewordouttothecommunity§ Growingastrongvolunteerbase§ Medicationcompliance§ Maintainingadherence§ Pharmacychoice§ Sustainedfinancialsupport§ Lackofculturalcompetencyeducationin
health,socialservice,andcriminaljusticeorganizations
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APPENDIXB:StakeholderandAssetMappingActivityHighlights
HIGHLIGHTS FROM THE STAKEHOLDER MAPPING ACTIVITY
Community Resources • Libraries • Theaters • Bars • Recreational Centers and Gyms • AIDS Service Organizations • Faith-Based Organizations • Youth Centers (e.g. Ruth Ellis Center) • LGBT Advocacy Organizations (e.g. Equality Michigan, Transgender Michigan)
People • Clinicians • Social Workers • LGBT Community Members and Allies • Elected Officials • Local Celebrities • Faith Leaders
Institutions • Medical and Nursing Schools • Hospitals • Michigan Department of Health and Human Services • Local Health Departments • Justice System
Communication • Local News and Media Outlets • Social Media • LGBT Newsletters and Magazines • Radio (Public Radio) • Word-of-Mouth/Referrals • Flyers • Community Meetings
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APPENDIXC:EvaluationSummary
ThefeedbackfromtheHELPCommunityConversationsprogramevaluations(n=44)wasoverwhelminglypositive:
• 43outof44(98%)evaluationrespondentseitherstronglyagreedoragreedthatthecommunityconversationachieveditsgoal.
• 42outof44respondents(95%)eitherstronglyagreedoragreedthattheywereabletoshareideas,feltheardandunderstoodattheconversations.
• 40outof44respondents(91%)eitherstronglyagreedoragreedthatasaresultoftheconversationstheywantedtobemoreinvolvedintheCorktownHealthCenter.
Theevaluationrespondentsidentifiedthemselvesascommunitymembers,allies,andLGBTprovidersincludingphysicians,pharmacists,andsocialserviceproviders.SeveralrespondentsprovidedcontactinformationandindicatedaninterestinservingontheCorktownHealthCenter’sforthcomingCommunityAdvisoryBoard.ManyrespondentsreportedlearningmoreaboutlocalLGBTchallengesandresourcesfromtheconversations,andfeelinglikeboththeconversationsandclinicgoalswereimportantforthecommunity.TheyalsoreportedabetterunderstandingofwhyHELPwascreatingCorktownHealthCenter.ManyofthefallrespondentsreportedwantingtoseefuturecommunityconversationsoccurinspacesthatservetheLGBTcommunityalready,andHELPaccommodatedthisrequestbyholdingoneofthespringconversationsatAffirmations,anonprofitservingtheLGBTcommunity.
Aboveall,mostrespondentswereappreciativethatHELPchosetohostthecommunityconversations.Onerespondentremarked,“HELPwantstogivethecommunity[members]whattheyneed,notwhatHELPthinkstheywant.”Severalrespondentsstressedthatinthefuturetheyhopedtoseecontinuedanddeepercommunityengagement,withmoreopportunitiestoexpresstheiropinionsaboutprogramsthatwoulddirectlyimpacttheLGBTcommunity.Respondentswerealsoanxioustosee“theendproduct”oftheclinicandhowtheir“ideas[wouldbe]implemented.”Onerespondentwantedtoseefutureclinicdevelopmentincludeprovideroutreachandtraining,whileanothercommentedthat“itwouldbeawesome[to]identifyaproviderwholookslikeus.”
Notablenextstepsinevaluationcommentaryincludedtheneedtodevelopoutreach,mediacoverage,andliteratureaboutCorktownHealthCenterforthosewhodidnotattendthecommunityconversations.
“HELPwantstogivethecommunity[members]whattheyneed,notwhatHELPthinkstheywant.”
-ConversationParticipant